https://www.adrenalsurgeryoxford.co.uk/home daily 1.0 2023-02-24 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591130230164-5T0OXOPL2GZKLBPY3NHW/IMG_1938_EDITBW2017_No%25252520watermark.jpg Home https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1616263784374-X4U7FGU4TJXR3KR90ZG7/acc+papers.jpg Home Recent publications on adrenal topics (for full details visit www.radumihai.info) https://www.adrenalsurgeryoxford.co.uk/about daily 0.75 2023-02-24 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591121984819-FSNDO2NID5D8X8VQPIZY/Slide1.jpg https://www.adrenalsurgeryoxford.co.uk/new-page daily 0.75 2020-06-01 https://www.adrenalsurgeryoxford.co.uk/preoperative-investigations daily 0.75 2020-05-31 https://www.adrenalsurgeryoxford.co.uk/safe-and-effective-adrenal-surgery daily 0.75 2020-06-01 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591021266544-JJP6JR8VIJK9J97ZI6UP/image-asset.jpeg Safe and effective adrenal surgery - We ensure a safe environment for adrenal surgery https://www.adrenalsurgeryoxford.co.uk/https/koi-mango-kgj8squarespacecom/contact-us daily 0.75 2023-02-24 https://www.adrenalsurgeryoxford.co.uk/new-page-1 daily 0.75 2020-05-30 https://www.adrenalsurgeryoxford.co.uk/phaeochromocytoma daily 0.75 2020-10-10 https://www.adrenalsurgeryoxford.co.uk/new-page-2 daily 0.75 2023-02-24 https://www.adrenalsurgeryoxford.co.uk/faqs-1 daily 0.75 2023-02-24 https://www.adrenalsurgeryoxford.co.uk/cushing-syndrome daily 0.75 2020-06-01 https://www.adrenalsurgeryoxford.co.uk/conns-syndrome daily 0.75 2020-06-01 https://www.adrenalsurgeryoxford.co.uk/adrenocortical-cancer daily 0.75 2021-03-07 https://www.adrenalsurgeryoxford.co.uk/adrenal-metastasis daily 0.75 2020-05-30 https://www.adrenalsurgeryoxford.co.uk/incidentaloma daily 0.75 2020-10-10 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591121892282-1RASN4DD9MKY05AFEE70/adrenal%25252Bincidentaloma%25252Bsummary.jpg Incidentaloma Approach to therapeutic decisions for adrenal incidentalomas https://www.adrenalsurgeryoxford.co.uk/video-consultation-1 daily 0.75 2021-03-06 https://www.adrenalsurgeryoxford.co.uk/open-adrenalectomy-for-acc daily 0.75 2020-06-01 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591022154986-7XOKO5553ZUPWPK6QVRA/IMG_1977_EDITBW.jpg Open adrenalectomy for ACC - The type of questions I discuss with patients during the preoperative informed consent include: principles of surgery for ACC - all efforts will be made to ensure the tumour is resected intact, without fracture and with good margins so that the best oncological outcome can be achieved. extent of surgery - based on the findings on the CT/PET scan a detailed discussion will be made about the benefits of resected the tumour en-block with any surrounding organs. In the group of 65 patients operated in Oxford some patients also needed removal of the kidney (n=21) or the spleen (n=14)and/ or the tail of the pancreas (n=6). These figures give a idea of the the likelihood for such extensive operation. risks of surgery - bleeding is the most significant risk. A good preoperative planning and careful surgical technique can mitigate this risk but the possibility of needing a blood transfusion remains. When deemed beneficial I use the cell-saver (i.e. a specialised equipment that retrieves blood lost during the operation and recirculates into the patient so that the amount of blood transfused from another patient to be reduced as much as possible). Apart of bleeding, there is a risk of postoperative respiratory distress as the type of incision used makes breathing difficult - this is risk is reduced by using effective pain control (e.g. epidural analgesia or wound catheters) https://www.adrenalsurgeryoxford.co.uk/conn-will-my-bp-be-cured daily 0.75 2020-05-31 https://www.adrenalsurgeryoxford.co.uk/conn-preop-bp-control daily 0.75 2020-05-31 https://www.adrenalsurgeryoxford.co.uk/adrenalectomy-lap-risks daily 0.75 2020-06-01 https://www.adrenalsurgeryoxford.co.uk/cushing-response daily 0.75 2020-06-01 https://images.squarespace-cdn.com/content/v1/5ece4da92ee7e73963d95ef0/1591035204489-6WV3VVIF63OPMMMZCO94/Cushing+response.jpg Cushing response - Based on replies to a standardised questionnaire sent to 20 patients operated in Oxford in recent years, there is a gradual improvement in some of the symptoms, with best results observed some 6 months or more after the operation. The bar chart illustrates the impact of the operation on most severe signs/symptoms experienced by this group of patients. Initially there is a rapid (but relatively modest) drop in body weight through loss of water. A slower weight loss occurs once the excess fat deposits are being burnt. As the muscle power increases one feels more motivated to engage in physical exercise that contributes to normalisation of body weight. https://www.adrenalsurgeryoxford.co.uk/cushing-surgery daily 0.75 2020-06-01 https://www.adrenalsurgeryoxford.co.uk/your-operation daily 0.75 2020-06-07 https://www.adrenalsurgeryoxford.co.uk/test daily 0.75 2020-06-08